Orange County NC Website
DocuSign Envelope ID:6C87C690-9415-46C1-A92C-B299BAEBD893 <br /> ORANGE COUNTY-DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Triangle Landscaping Inc Party/Vendor Contact Person: Brad Lewis <br /> (Trianglelandscapemgmt @gmail.com) Contact Phone: 919.730.5267 PartyNendor Address: PO Box 144 City <br /> Stem State: NC Zip: 27581 Department: AMS Amount: $9,000.00 Purpose: Remove stumps, remove existing <br /> concrete on south west corner, grade and pour new ADA ramp and paint (thermal plastic) crosswalk Budget <br /> Code(s): 61370035-880000-30001 Vendor#62218 (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ <br /> NoZ Contract Type: (Check one)New ® Renewal ❑ Amendment ❑ Effective Date 8/21/17 Approved by <br /> Board Yes NoZ Agenda Date: <br /> This agreement is approved as to technical form and content: <br /> �---DOCUSigned by: <br /> „y,o„ 8/15/2017 <br /> Department Director's Signature Date: <br /> ,raa�.va�rov7o <br /> Asset Management <br /> (Applicable only to construction contracts)This agreement has been reviewed and is approved as to construction <br /> services content and specifications: <br /> �---DOCUSignetl by: <br /> Office of the Asset Management Director j4 °"D"' Date: 8/15/2017 <br /> Risk Management <br /> This agreement is approved for sufficiency of insurance standards,specifications, and requirements: <br /> r--DOCUS7;by: 8/16/2017 <br /> Office of the Risk Management Officer a(isa�ewu f{o Date: <br /> Financial Services <br /> r,..„ This <br /> " This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: <br /> �---DOCsgetl by: <br /> Office of the Chief Financial Officer ("1" °" Date: 8/21/2017 <br /> Legal Services <br /> This agreement is approved as to legal form and sufficiency: <br /> l---DOCUSigned by: <br /> ,)aluA,rekr(s 8/25/2017 <br /> Office of the County Attorney, .,a Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd@orangecountync.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Revised 2/17 6 <br />